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Mechanische Ventilation

  • P. M. Osswald
  • M. Dittmann

Zusammenfassung

Die wichtigste Überlegung ist das Verhüten einer Obstruktion. Diese schränkt die Ventilation ein und führt zu einem Ansteigen der Atemarbeit. Die Zunge ist das Organ, das am häufigsten zu einer oberen Luftwegsobstruktion führt. Daneben können natürlich Entzündungen, z. B. der Epiglottis, der Stimmbänder bzw. des Larynx und der Trachea, ebenfalls zu Luftwegsobstruktionen führen. Fremdkörperaspirationen, gesteigerte Sekretion und eine veränderte Viskosität des Bronchialsekrets führen zu einer Obstruktion der unteren Luftwege.

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Literatur/weiterführende Literatur

Atemwege

  1. Rarey KP, Youtsey JW (1981) Respiratory patient care. Prentice-Hall, Englewood Cliffs/NJGoogle Scholar

Respiratoren

  1. Blum LL (1970) Safety factors of anaesthesia equipment and the components of manmachine interface (an introduction into ergonomics). In: Advances in anaesthesia and resuscitation. (Proceedings of the 3rd European Congress of Anaesthesiology, Prag, pp 15, 195)Google Scholar
  2. Boquet G, Bushman JA, Davenport HT (1980) The anaesthetic machine – a study of function and design. Br J Anaesth 52/1: 61–67PubMedCrossRefGoogle Scholar
  3. Burandt U (1978) Ergonomie für Design und Entwicklung. Schmidt, KölnGoogle Scholar
  4. Churchill-Davidson HC (1978) A practice of anaesthesia, 4th edn. Lloyd-Luke, LondonGoogle Scholar
  5. Drui AB, Behm RJ, Martin EW (1973) Predesign investigation of the anesthesia operational environment. Anesth Analg 52/4Google Scholar
  6. Emerson H (1909) Artificial respiration in the treatment of edema of the Lungs. Arch Intern Med 3:368Google Scholar
  7. Grandjean E (1979) Physiologische Arbeitsgestaltung. Ott, ThunGoogle Scholar
  8. Heironimus TW, Bageant RA (1977) Mechaniscal artificial ventilation, 3rd edn. Thomas, SpringfieldGoogle Scholar
  9. Herboldt JD, Rafn CG (1960) An Attempt at an historical survey of life-saving measures for drowning persons and information on the best means by which they can be brought back to life. Stifstbogtrykkeriet, AarhusGoogle Scholar
  10. Kirby BR, Smith RA, Desaultes DA (1985) Mechanical ventilation. Churchill Linvingstone, New York Edinburgh London MelbourneGoogle Scholar
  11. Kraft HH, Lees DE (1984) Closing the loop: how near is automated anesthesia? South Med J 77/1Google Scholar
  12. Lawin P, Morr-Stratmann U (1978) Aktuelle Probleme der Intensivbehandlung I. Thieme, Stuttgart (INA, Bd 12)Google Scholar
  13. Lawin P, Peter K, Scherer R (1984) Maschinelle Beatmung gestern – heute – morgen. Thieme, Stuttgart New York (INA, Bd 48)Google Scholar
  14. Lotz P, Siegei E, Spilker D (1984) Grundbegriffe der Beatmung. GIT-Verlag Ernst Giebeler, DarmstadtGoogle Scholar
  15. McIntire JWR (1982) Man-machine interface: the position of the anaesthic machine in the operating room. Can Anaesth Soc J 29/1Google Scholar
  16. McPherson SP, Spehrman CB (1985) Respiratory therapy equipment, 3rd edn. Mosby, St. Louis Toronto PrincetonGoogle Scholar
  17. Mushin WW, Rendell-Baker L, Thompson PM, Maplison WW (1980) Automatic ventilation of the lungs, 3rd edn. Blackwell, Oxford London Edinburgh MelbourneGoogle Scholar
  18. Paget MS, Lambert TF, Sridhar K (1981) Factors affecting an anaesthetist’s work: some findings on vigilance and performance. Anaesth Intensive Care 9:359PubMedGoogle Scholar
  19. Proctor EA (1981) The operating room. Int Anesthesiol Clin 19/2:49PubMedCrossRefGoogle Scholar
  20. Satwicz PR, Shagrin JM (1981) The selection of anaesthetic equipment. Int Anesthesiol Clin 19/29:97PubMedCrossRefGoogle Scholar
  21. Scurr C, Feldmann S (1982) Scientific foundations of aneasthesia (physical principles part I, II). Heinemann, LondonGoogle Scholar

Einstellung des Respirators

  1. Ashbaugh DG, Petty TL, Bigelow DB, Harris TM (1969) Continuous positive pressure breathing (CPPB) in adult respiratory distress syndrome. J Thorac Cardiovasc Surg 57:31–41PubMedGoogle Scholar
  2. Bendixen HH, Hedley-Whyte J, Laver MB (1963) Impaired oxygenation in surgical patients during general anaesthesia with controlled ventilation: a concept of atelectasis. N England J Med 269:991CrossRefGoogle Scholar
  3. Benzer H, Koller W (1987) Die Strategie der Beatmung. Intensivmed 24:214–219Google Scholar
  4. Daschner F, Langmaak H, Scherer-Klein E, Weber L (1981) Hygiene auf Intensivstationen. Springer, Berlin Heidelberg New YorkCrossRefGoogle Scholar
  5. Hedenstierna G, Santesson J, Baehrendtz S (1984) Variations of regional lung function in acute respiratory failure and during anaesthesia. Intensive Care Med 10: 169–177PubMedCrossRefGoogle Scholar
  6. Nunn JF (1977) Applied respiratory physiology. Butterworth, LondonGoogle Scholar
  7. Powers SR, Mannal R, Neclerio M et al. (1973) Physiologic consequences of positive endexpiratoy pressure (PEEP) ventilation. Ann Surg 178:265PubMedCrossRefGoogle Scholar
  8. Suter PM, Fairley HB, Isenberg MD (1978) Effect of tidal volume and positive endexpiratory pressure on compliance during mechanical ventilation. Chest 73:158PubMedCrossRefGoogle Scholar
  9. Woo SW, Berlin D, Büch U, Hedley-Whyte J (1970) Altered perfusion, ventilation, anesthesia and lung surface forces in dogs. Anesthesiology 33:411–418PubMedCrossRefGoogle Scholar

Entwöhnung vom Respirator

  1. Dittmann M, Steenblock U, Wolff G, Allgöwer M (1981) Respiratory asistance on surgical wards with continuous airway pressure (Turbo-Peep-Weaner). Am J Surg 142:625–627PubMedCrossRefGoogle Scholar
  2. Dittmann M, Eckart J, Hoffmann P, Osswald PM, Renkl F, Ritz R, Zeravik J (1987) Respiratoren in der klinischen Praxis. Springer, Berlin Heidelberg New York TokyoGoogle Scholar
  3. Yeager MP, Glass D, Neff RK, Brinck-Johnsen T (1987) Epidural anesthesia and analgesia in high-risk surgical patients. Anesthesiology 66:729PubMedCrossRefGoogle Scholar

Komplikationen

  1. Bendixen HH et al. (1965) Respiratory care. Mosby, St. LouisGoogle Scholar
  2. Brunner LS, Suddarth DS (1974) Lippincott manual of nursing practice. Lippincott, PhiladelphiaGoogle Scholar
  3. Burton G et al. (1977) Respiratory care: a guide to clinical practice. Lippincott, PhiladelphiaGoogle Scholar
  4. Bushnell SS (1975) Respiratory intensive care nursing. Little, Brown, BostonGoogle Scholar
  5. Egan SF (1977) Fundamentals of respiratory therapy, 3rd edn. Mosby, St. LouisGoogle Scholar
  6. Garrett DF, Donaldson WP (1975) Physical principles of respiratory therapy equipment. Ohio Medical Products, Madison WIGoogle Scholar
  7. Grenard S et al. (1971) Advanced study in respiratory therapy. Glenn Educational Medical Services, New YorkGoogle Scholar
  8. Hedley-White J et al. (1976) Applied physiology of respiratory care. Little, Brown, BostonGoogle Scholar
  9. Heimlich HJ (1975) A life saving maneuver to prevent food choking. JAMA 234:398PubMedCrossRefGoogle Scholar
  10. Heimlich HJ et al. (1975) Food choking and drowning death prevented by external subdiaphragmatic compression: physiologic basis. Ann Thorac Surg 20:188PubMedCrossRefGoogle Scholar
  11. Hunsinger DL et al. (1976) Respiratory technology: a procedure manual, 2nd edn. Reston Publishing Company, Reston VAGoogle Scholar
  12. Slonim NB, Hamilton LH (1971) Respiratory physiology, 2nd edn. Mosby, St. LouisGoogle Scholar
  13. Taylor JP (1978) Manual of respiratory therapy, 2nd edn. Mosby, St. LouisGoogle Scholar
  14. Wade JF (1977) respiratory nursing care, 2nd edn. Mosby, St. LouisGoogle Scholar
  15. Young JA, Crocker D (1976) Principles and practises of respiratory therapy, 2nd edn. Year Book Medical Publishers, ChicagoGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1992

Authors and Affiliations

  • P. M. Osswald
  • M. Dittmann

There are no affiliations available

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